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Sciatica
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"I have 'Sciatica' pain!" This is a common complaint heard from any person who suffers from shooting pain down his or her leg. Most of the time they are mistaken. The Sciatic nerve exits the Lumbar spine (L5, S1,S2) and penetrates the Sciatic notch in the hip and goes down the back of the thigh to the foot. This nerve may be compressed by the disk between the lumbar vertebrae, or entrapped by the Piriformis muscle. Most of the time it is the latter. There are a few muscles in the hip which will mimic the pain commonly but incorrectly referred to as "Sciatica". These muscles are:
- Piriformis - This deep muscle is located in the center
of the buttocks. It originates in the front side of the sacrum
(tail bone) and connects to the hip joint. When the piriformis
is in a spasm it will compress the thigh bone into the hip socket
increasing the pressure on the joint.. Also, when this muscle
is spastic it will compress different nerves roots which exit
the Sacrum (tail bone) , including the "famous" Sciatic
nerve. The piriformis muscle syndrome is frequently characterized
by such bizarre symptoms that may seen unrelated. One characteristic
complaint is a persistent severe, radiating low back pain extending
from the sacrum (tail bone ) to the hip joint, over the gluteal
region and the posterior of the upper leg , and behind the knee..
In the most severe cases the patient will be unable to lie or
stand comfortably, and changes in position will not relieve the
pain. Intense pain will occur when the patient sits or squats
since this type of movement requires external rotation of the
upper leg and bending the knee.
When the Sciatic nerve is involved, the patient will also experience
tingling and numbness in the calf and foot.
- Tensore fasciae latae - This small muscle on the side
of the hip connects the hip bone to the femur ( thigh bone ) from
the side. Since 90% of the time during walking the body weight
is carried by one hip , the hip muscles are forced to work harder
which make them susceptible to get in a spasm. When this muscle
is spastic , pain would be referred to the side of the thigh and
calf.. It would be very painful , sometimes impossible to put
any weight on the hip.
- Gluteus maximus, medius and minimums - These superficial
hip muscles cover the whole hip from the waist to the hip joint
itself. When they are spastic , pain would be felt in the hip
and referred to the back and side of the thigh and calf. It would
be very painful , sometimes impossible to put any weight on the
hip.
- Deep rotators- These five deep muscles connect the hip
joint to the bottom of the pelvis from the back. When they are
in a spasm the pain would be felt in the hip and sacrum ( tail
bone ).Sitting would be very uncomfortable.
- Lumbar ligaments- These three ligaments connect the hip
joint to the lumbar spine (low back) and the sacrum (tail bone)
When they are spastic, pain would be felt in the low beck hip
and would be referred to the back of the thigh.
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John Berkman - Calabasas, CA
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Having been treated by Gadi was a miracle. His unique combination of techniques was amazing. They made all the difference in the world. Since then I have no low back pain, I am very active physically in spite of my advanced age. |
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Amy Jacobson - Sacramento, CA
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Gadi's treatment was so productive, that I also asked him to help me with some continual pain I felt in my lower back and stiffness in my neck. I believe that his strain counter strain therapy totally works and has definitely helped relieve me of my pain and discomfort. |
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Gadi Kaufman · Certified Neuromuscular Therapist · 1460 7th Street, Suite 305 · Santa Monica, CA 90490
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